A different approach to nose surgery.
Predicting the response of the soft tissues to the nose reshaping operation, is a matter of experience rather than knowledge, but will influence to a significant extent of the changes projected for the framework.
Even with all this effort, it is not possible as yet to deliver an outcome that fully matches a computerised project, but it is possible to make it come closer and closer.
The next level, for evaluation or the nasal shape and predicted changes comes from 3-D imaging and procedure planning, where our practice has contributed pioneering work.
There is no doubt that starting with a good plan is the key to a successful outcome and for this reason over the last nine years we have focused on using computerised simulation during the rhinoplasty consultations are in our practice.
It offers patients the ability to express in greater detail their views regarding problems they see with the appearance of their nose, and explore alternatives for change.
Our more recent work attempts to overcome this limitation by introducing techniques of measurement of some of the nose parameters repeatedly during the surgery, allowing for dynamic adjustments, and flexibility in delivering a project for treatment as close as possible to design.
We call it the dimensional approach in rhinoplasty.
This has led to a change in some aspects of the surgical technique, to make it a more powerful tool for nasal reshaping.
To translate these changes however, it takes understanding of both the mechanics of rhinoplasty surgery and healing of the tissues with the expected variations that it generates.
Surgeons have developed extensive technical skills in terms of complex reshaping of all the components of the nose, but one element has always been difficult: measuring the changes of the nose during surgery, in order to compare to the targets set during the consultation.
Invariably, an open approach for the rhinoplasty provides more flexibility in terms of reshaping of the nasal tip out and adjustment of the relative positions of the cartilage framework components.
This is why we feel that in the majority of interventions, if the patient defines with greater accuracy targeted changes, the open to the approach is more likely to provide sufficient control to achieve the changes.
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with Mr Lucian Ion. Call 0207 486 7757
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